# BRIAN WYN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174862387
- **Authorized official:** ALEX LEE MD (OWNER)
- **Authorized official phone:** (908) 653-9399

## Contact information

- **Practice address:** 9957 BISCAYNE LN, LAS VEGAS, NV 89117-3625
- **Practice address phone:** (702) 487-6510
- **Mailing address:** 9957 BISCAYNE LN, LAS VEGAS, NV 89117-3625
- **Mailing address phone:** (702) 487-6510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2013
- **Last updated:** 02/07/2013